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New York rates for HCPCS J1200

Injection Diphenhydramine Hcl Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.69 / $8.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.04 / $2.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.57
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.11
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $1.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.07 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $1.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.00 / $2.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.95 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.81 / $1.41
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.79 / $0.84